<Unavail>
LBN: Richard N Kittelson
<Unavail> is an health care organization with primary practice located at 918 Washington Ave , Detroit Lakes MN 56501-3402. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optician is the primary health care specialty.
Richard N Kittelson can be contacted via phone (218) 847-8021, or through Kittelson, Richard N via phone (218) 847-8021.
Contact Information
Primary practice address
918 Washington Ave
Detroit Lakes MN 56501-3402
Phone: (218) 847-8021
Fax: (218) 846-9552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 03590 | Minnesota |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | Minnesota |
Profile Details
| NPI number | 1962496570 |
|---|---|
| LBN Legal business name | Richard N Kittelson |
| DBA Doing business as | <Unavail> |
| Authorized official | Kittelson, Richard N ABOC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Sep 11th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962496570 | NPPES |
| Minnesota | Other | 1C991OP | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 2100679 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | OPT301766 | BLUE CROSS BLUE SHIELD |
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